ZGN-28101-02748
5 vaccinations
4 coded responses
51 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 453 / OH
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling of body temperature change, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessFree text: Felt hot on my skin but I was freezing. Felt more like a nervous system response but I cant rule out a mild fever. It was late and I was too tired to think to take my temp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-05-11
Survey response — 3 months, dose 2MedDRA: Dysmenorrhoea, Heavy menstrual bleeding — Feeling: GoodFree text: I think that the vaccine may have affected my menstrual periods. It was not something I thought of at the time but I had a skipped period followed by heavy bleeding on one period. I have seen other reports of the same so decided to mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
-
2021-11-09
Dose 3 — Moderna
- 2022-02-11
- 2022-02-11
-
2022-04-15
Dose 4 — Moderna
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-22
- 2022-04-29
-
2022-05-06
Survey response — day 21, dose 4MedDRA: Bronchitis, Ear infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bronchitis and ear infectionsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — day 21, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
- 2022-05-15
-
2022-05-20
Survey response — day 35, dose 4MedDRA: Bronchitis, Ear infection, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: Continued issues with acute bronchitis and ear infection. I have had 2 negative Covid tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
-
2022-10-14
Dose 5 — Moderna
- 2022-10-14
- 2022-10-14
-
2022-10-15
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-06 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Felt hot on my skin but I was freezing. Felt more like a nervous system response but I cant rule out a mild fever. It was late and I was too tired to think to take my temp.
Release 8 — 3 months, dose 2
Symptoms: I think that the vaccine may have affected my menstrual periods. It was not something I thought of at the time but I had a skipped period followed by heavy bleeding on one period. I have seen other reports of the same so decided to mention it.
Release 11 — day 21, dose 4
Symptoms: Bronchitis and ear infections
Release 11 — day 35, dose 4
Symptoms: Continued issues with acute bronchitis and ear infection. I have had 2 negative Covid tests.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchitis | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release